| NPI | 1164148094 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VILMA BLACK Therapist/Owner 443-401-3159 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2022-10-12 |
| Last Update Date | 2022-10-21 |